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Establishment of MR-proADM as novel biomarker for individualization of antihypertensive therapy in renal failure patient

Research Project

Project/Area Number 15K08101
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical pharmacy
Research InstitutionOita University

Principal Investigator

Itoh Hiroki  大分大学, 医学部, 教授 (50420641)

Co-Investigator(Kenkyū-buntansha) 鈴木 陽介  大分大学, 医学部, 薬剤主任 (10737191)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2016: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
KeywordsMR-proADM / 降圧治療抵抗性 / 慢性腎不全 / 腎移植 / 酵素免疫測定法 / バイオマーカー
Outline of Final Research Achievements

In this study, we evaluated the efficacy of mid-regional pro-adrenomedullin (MR-proADM) as novel biomarker for individualization of antihypertensive therapy in renal failure patient. Firstly, in kidney transplant recipients, the relationship between resistance to antihypertensive therapy and plasma MR-proADM level was evaluated. Plasma MR-proADM levels before and at 7, 14, 30, 90 and 180 days after kidney transplantation were determined using an enzyme immunoassay. To evaluate resistance to antihypertensive therapy, treatment intensity score of the antihypertensive drugs in each recipient was calculated. A significant negative correlation was observed between treatment intensity score and eGFR at 14 days after kidney transplantation, whereas no significant correlation was observed between treatment intensity score and plasma MR-proADM level. Presently, we are conductiong the prospective cohort study for chronic renal insufficiency patients with resistance to antihypertensive therapy.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (3 results)

All 2017 2015

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (2 results)

  • [Journal Article] Association of metabolic complication with plasma mid-regional pro adrenomedullin level in stable kidney transplant recipients2015

    • Author(s)
      Suzuki Y, Katagiri F, Sato F, Fujioka T, Tanaka R, Sato Y, Mimata H, Itoh H
    • Journal Title

      Clin. Chim. Acta

      Volume: 453 Pages: 160-163

    • DOI

      10.1016/j.cca.2015.12.016

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Presentation] 生体腎移植後の降圧薬治療強度を予測する因子の探索2017

    • Author(s)
      鈴木 陽介
    • Organizer
      第38回日本臨床薬理学会学術総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 安定期生体腎移植患者における移植後のeGFRの低下に関連する因子の検討2015

    • Author(s)
      村谷菜々子、鈴木陽介、藤岡孝志、佐藤雄己、伊東弘樹
    • Organizer
      医療薬学フォーラム2015/第23回クリニカルファーマシーシンポジウム
    • Place of Presentation
      名古屋国際会議場(愛知県、名古屋市)
    • Year and Date
      2015-07-04
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2019-03-29  

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